Canaan Marie Champion, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shattuck, Oklahoma. Her current practice location is
1523 S Main St, Shattuck, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(870) 403-1225.
Canaan Marie Champion is licensed to practice in Arkansas (license number C02654 CRNA) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922155001.
Provider's Profile
| Full Name | Canaan Marie Champion |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1523 S Main St, Shattuck, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Canaan Marie Champion attended and graduated from in
NPI Data:
- NPI Number: 1922155001
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Canaan Marie Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922155001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R 92363 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN164615 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C02654 CRNA (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Canaan Marie Champion is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Canaan Marie Champion, CRNA
2719 Highway 351,
Jonesboro, AR 72405-6931
Ph: (870) 403-1225 | Canaan Marie Champion, CRNA
1523 S Main St,
Shattuck, OK 73858-9223
Ph: (870) 403-1225 |
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